CPT^® 90658, Under Vaccines, Toxoids

The Current Procedural Terminology (CPT^®) code 90658 as maintained by American Medical Association, is a medical procedural code under the range - Vaccines, Toxoids.

Additional/Related Information

Tabs

Summary

The provider injects into a patient’s muscle an altered form of an influenza split virus, in a 0.5 mL dose to provide immunity to three forms of influenza, a severe and infectious respiratory disease.

For clinical responsibility, terminology, tips and additional info
start codify free trial.

View any code changes for 2024 as well as historical information on code creation and revision.

Crosswalks

Tabs

Combat the #1 denial reason - mismatched CPT-ICD-9 codes - with top Medicare carrier and private payer accepted diagnoses for the chosen CPT® code.

View the CPT® code's corresponding procedural code and DRG. In a click, check the DRG's IPPS allowable, length of stay, and more. To plug inpatient facility revenue drains, subscribe to DRG Coder today.

Crosswalk to an anesthesia code and its base units, and calculate payments in a snap! Subscribe to Anesthesia Coder today.

View matching HCPCS Level II codes and their definitions.

Forum

Have a question about CPT Code 90658 ? Start a discussion here

Flu vaccines ages 20-29 and medicaid

[QUOTE="sheilacpc, post: 485658, member: 33166"] [URL='https://medicaid.ncdhhs.gov/blog/2020/09/01/influenza-vaccine-and-reimbursement-guidelines-2020-2021-medicaid-and-nc-health']NC Medicaid: Influen... [ Read More ]

Wi vfc program

Our clinic is a FQHC and participates in the VFC program. We are unable to get reimbursed from Medicaid for the administrative code. I called Forward Health and I was told to use another administrativ... [ Read More ]

90460 +90461

[b]What State? Each States MCD has VFC specific rules[/b] in SC example our limit no matter how many vaccines given is Max unit 1 per day 90460, and Max units 2 per day 90461 example: patient rece... [ Read More ]

Flu codes

Hello fellow Oregon coders. I work in primary care and am having issues with Flu shots being denied. Last year we used G0008 & Q2038 for low dose (medicare) and 90471, 90658 (commercial) . Medicare is... [ Read More ]

flu shot for medicare patients

[QUOTE="debbiek, post: 402984, member: 51038"]We are getting denials for the flu shot under code Q2038. Is this the code that was supposed to be approved after Jan 3rd? Wasn't there some kind of dela... [ Read More ]

flu shot for medicare patients

We are getting denials for the flu shot under code Q2038. Is this the code that was supposed to be approved after Jan 3rd? Wasn't there some kind of delay on the codes for 2016/2017? We are using G0... [ Read More ]

Flu vaccine for Mcare

Can someone tell me the correct codes for Mcare for billing flu vaccine. I have a client that turned in 90658 but this doesn't appear to be correct. Thank you... [ Read More ]

Fluvirin prefilled syringe vaccine

Per the following presentation on slide 4 (bottom of PDF page 2) [url]http://www.izsummitpartners.org/wp-content/uploads/2014/05/20e-3_Lewin_Novartis.pdf[/url] FLUVIRIN® (Influenza Virus Vaccine) �... [ Read More ]

NC Medicaid denying Well Woman Visits

I am having a problem getting NCMedicaid to pay for Well Woman physicals, denying for diagnosis codes. Medicaid hasn’t been helpful in telling me exactly what I am doing incorrectly, so I am hoping... [ Read More ]

Humana denying any OV billed with any testing or vaccines at the same visit billed claim humana issues testing

Did anyone else start receiving denials for O.V mid December anytime it was billed with any vaccine or testing ( 87880,86308, ect) ? We are pediatrics...and yes we are billing with the correct modif... [ Read More ]

View All